MELANIE PILGRIM DMD (Credential# 157086) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 18, 2019. The license expiration date date is February 28, 2019. The license status is INACTIVE.
MELANIE PILGRIM DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0016613. The credential type is controlled substance registration for practitioner. The effective date is January 18, 2019. The expiration date is February 28, 2019. The business address is 3419 Woodshire Crossing, Marietta, GA 30066. The current status is inactive.
| Licensee Name | MELANIE PILGRIM DMD |
| Credential ID | 157086 |
| Credential Number | CSP.0016613 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3419 Woodshire Crossing Marietta GA 30066 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - DOES NOT WISH TO RENEW |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-01-18 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-01-18 |
| Street Address | 3419 WOODSHIRE CROSSING |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Francis J L'estrange | 1780 Blackwillow Dr, Marietta, GA 30066 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Shaw C Tsay | 3362 Ebenezer Farm Road, Marietta, GA 30066 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Ahmet Colakoglu | 1281 Kennestone Cir, Marietta, GA 30066 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Gary B Lineback | 2390 Canton Rd Bldg 200, Marietta, GA 30066 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Naveed Jaffar | 4206 Long Branch Dr, Marietta, GA 30066 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Susan Amy Fackler | 2858 Piedmont Enclave Ct, Marietta, GA 30066 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
| William D Whitlock Jr | 4233 Arbor Club Dr, Marietta, GA 30066 | Professional Engineer | 2001-02-01 ~ 2002-01-31 |
| Andrea M Torres | 4404 Idlewilde Meadows Dr., Marietta, GA 30066 | Emergency Medical Technician | 2013-10-04 ~ 2015-10-01 |
| Pankaj R Kapadia | 3938 Summer Breeze Court, Marietta, GA 30066 | Certified Public Accountant Certificate | 2015-01-01 ~ 2015-12-31 |
| Roger J De Shane · Environmental Protection | 1612 Blackwell Rd, Marietta, GA 30066 | Professional Engineer | 1993-01-04 ~ 1994-01-31 |
| Find all Licenses in zip 30066 | |||
| City | MARIETTA |
| Zip Code | 30066 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MARIETTA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah Yarrow | 32 Pilgrim Ln, Guilford, CT 06437-1645 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sharon A Newport | 121 Pilgrim Dr, Greenwich, CT 06831 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Dana R Crino Md | 107 Pilgrim Rd, Wellesley, MA 02481-2527 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Megan L Selbst | 509 Pilgrim Harbor, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2006-04-12 ~ 2007-02-28 |
| Howard G Smith Md | 78 Pilgrim Rd, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lindsay R Pilgrim Pa | 40 Prospect St Bldg 1 Apt 1f, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2013-02-13 ~ 2013-02-28 |
| Sara Jill Lebovitz | 7 Pilgrim Hill Rd, Ridgefield, CT 06877 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alfred A Vichot | 19 Pilgrim Road, West Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Petra Marie Anne Pilgrim | 208 Valley Rd, New Canaan, CT 06840-3812 | Controlled Substance Registration for Practitioner | 2019-11-06 ~ 2021-02-28 |
| Melanie M Liu | 900 Chapel St Apt 312, New Haven, CT 06510-2802 | Controlled Substance Registration for Practitioner | 2012-07-13 ~ 2013-02-28 |
Please comment or provide details below to improve the information on MELANIE PILGRIM DMD.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).